You are assessing an infant and notice that his nares flare, he has a soft grunt with each breath, and the skin between his ribs is pulled inward with inhalation. What is the significance of these findings?
A) These are indicative of a CNS process.
B) These are indicative of respiratory distress.
C) These are indicative of muscular dystrophy.
D) These are frequently accompanied by stridor.
B) These are indicative of respiratory distress.
It is critical to notice these findings of respiratory distress. Muscular dystrophy may not allow the appearance of these signs because they are caused by muscular effort. It is hard to find a cause for these signs in the CNS. Stridor is usually inspiratory, so while nasal flaring and retractions may occur, grunting is unusual because exhalation is unimpeded.
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A mother of two children, an 8-year-old and a 10-year-old, tells you that her husband has recently been deployed to the Middle East
The mother is concerned about the children's constant interest in watching TV news coverage of activities in the Middle East. The most appropriate suggestion for the nurse to make to this mother would be: 1. "Allow the children to watch as much television as they want. This is how they are coping with their father's absence." 2. "It will just take some time to adjust to their father's absence, then everything will return to normal." 3. "The less that you discuss this, the quicker the children will adjust to their father's absence. Try to keep them busy and use distractions to keep their mind off of it." 4. "Spend time with your children, and take cues from them about how much they want to discuss."
The nurse is performing an external eye examination. Which statement regarding the outer layer of the eye is true?
a. The outer layer of the eye is very sensitive to touch. b. The outer layer of the eye is darkly pigmented to prevent light from reflecting internally. c. The trigeminal nerve (CN V) and the trochlear nerve (CN IV) are stimulated when the outer surface of the eye is stimulated. d. The visual receptive layer of the eye in which light waves are changed into nerve impulses is located in the outer layer of the eye.
A provider has written an order for a medication: drug x 100 mg PO every 6 hours. The half-life for the drug is approximately 6 hours. The nurse is preparing to administer the first dose at 8:00 AM on Tuesday
On Wednesday, when will the serum drug level reach plateau? a. 2:00 AM b. 8:00 AM c. 2:00 PM d. 8:00 PM
A patient sustains a vaginal tear during the labor and delivery process and is experiencing profuse vaginal bleeding. What should the nurse instruct the patient about this injury?
A) This injury will heal rapidly. B) Surgery is needed to repair the tear. C) Future vaginal deliveries will be compromised. D) Bleeding will continue for several weeks to months.